Individual
JAMES O. MAHER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
345 VALLEY RD, MIDDLETOWN, RI 02842-5236
(401) 849-6868
(401) 847-3840
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 849-6868
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
07310
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JM12717
—
RI
Enumeration date
04/24/2006
Last updated
05/28/2014
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